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Missouri Department of Mental Health,
Division of Alcohol and Drug Abuse

Traditional Treatment Programs

Individuals presenting for SATOP services having multiple DWI / DUI, alcohol or drug related traffic offenses, or those identified through the screening process as being at a “high risk” for chemical dependency, may receive a recommendation for more traditional treatment. Individuals may also choose, for a variety of reasons, to complete a traditional treatment program. This treatment may be in the form of a residential program or an intensive outpatient program but must be completed at a state certified, or nationally accredited, substance abuse treatment program.

This page describes some of the options provided by the Missouri Department of Mental Health, Division of Alcohol and Drug Abuse.

Traditional Treatment

A wide variety of Division of Mental Health funded and supported clinical treatment and recovery support services are strategically located throughout Missouri. Clinical treatment and recovery support services are designed to provide a continuum of services to assist individuals with substance use disorders in achieving and maintaining recovery.

Clinical Treatment Services

A comprehensive package of individualized services and therapeutic structured activities designed to achieve and promote recovery from substance abuse. These services have three basic levels of intensity and routinely include; assessment, individual and group counseling, family counseling, participation in self-help groups, and other supportive measures . Detoxification and Residential Support services are offered for those who need a safe drug free environment early in the treatment process.

Recovery Support Services

Funded by the ATR grant and offered by Faith-based and Nontraditional providers offering an array of activities, resources, relationships, and services designed to assist an individual's integration into the community, participation in treatment, improved functioning, and recovery from substance use disorders.


The Comprehensive Substance Abuse Treatment and Rehabilitation Program (CSTAR) is a unique approach to substance abuse and addiction treatment. It offers a flexible combination of clinical services, living arrangements and support services that are individually tailored for each client. The CSTAR model was developed by Missouri 's Division of Alcohol and Drug Abuse and is funded by Missouri 's Medicaid program and the Division's purchase of- service system. In the past, inpatient or residential treatment temporarily removed a person from the problem environment with little or no follow-up care. CSTAR focuses on providing a complete continuum of recovery services, including extended outpatient services, in the community and, where possible, close to home.

CSTAR Women's Treatment Programs

Substance abuse affects women differently than men, both physically and psychologically. Single women, pregnant women and women with children may enter specialized women's CSTAR treatment programs. These programs provide a complete continuum of treatment services and housing supports tailored to the unique needs of women and children.
CSTAR Alt-Care Program Is a specifically designed CSTAR program for female offenders.

CSTAR Adolescent Treatment Programs

Early intervention, comprehensive treatment, academic education, and aftercare are important in averting chronic abuse and accompanying problems that might otherwise follow a young person for a lifetime. The specially trained staffs of adolescent CSTAR programs utilize individual, group and family interventions.

Opioid Treatment Programs

The Opioid (methadone) Treatment Program (OTP) is designed for medically supervised withdrawal from heroin and other opiate drugs, followed by ongoing treatment and rehabilitation for addiction and related life problems. Missouri's OTP meets federal guidelines for such programs.

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